- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $346.74 / $4,677.35 / $18,620.87
| Facility | | $346.74 | $4,677.35 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $501.19 / $707.95 / $4,466.84
| Facility | | $501.19 | $707.95 | $4,466.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $218.78 / $380.19 / $4,365.16
| Facility | | $218.78 | $380.19 | $4,365.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $302.00 / $363.08 / $371.54
| Facility | | $302.00 | $363.08 | $371.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $245.47 / $251.19 / $2,454.71
| Facility | | $245.47 | $251.19 | $2,454.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $10,964.78 / $20,892.96
| Facility | | $7,079.46 | $10,964.78 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $933.25 / $10,964.78 / $21,379.62
| Facility | | $933.25 | $10,964.78 | $21,379.62 |